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News
AAP committee provides recommendations on value of CPT codes
Available to PurchasePublished: April 01, 2025
Abstract
Pediatricians can support their financial sustainability and influence the future of pediatric care by participating in AAP surveys that are used to make recommendations to the Centers for Medicare & Medicaid Services.
News
AAP involved in CPT code development process to ensure appropriate payment
Available to PurchasePublished: March 01, 2025
Abstract
The Current Procedural Terminology panel approved the addition of three codes to represent counseling for vaccines when no vaccine is administered. The codes are scheduled to take effect in 2026.
News
How to code for care during newborn’s hospital admission
Available to PurchasePublished: February 01, 2025
Abstract
Newborn care, whether normal or sick, can be complex when the patient has varying levels of care.
News
New year ushers in 17 new CPT codes for telemedicine
Available to PurchasePublished: December 23, 2024
Abstract
Understanding the nuances of telemedicine coding for 2025 is important to ensure compliance with CPT guidelines and prompt payment.
News
New ICD-10-CM codes address obesity by classification, BMI
Available to PurchasePublished: December 01, 2024
TOPICS:
Billing & Coding,
Obesity
Abstract
New codes for obesity by classification and BMI aim to enhance the specificity of medical claims, improve data collection for research and contribute to management of obesity as a chronic condition.
News
Get up to speed on updated ICD-10 codes to ensure proper payment
Available to PurchasePublished: October 01, 2024
Abstract
Accurate diagnosis coding is crucial for securing payment and justifying the medical necessity of health care services.
News
CPT + ICD-10-CM + NDC = proper coding for flu vaccines
Available to PurchasePublished: September 01, 2024
TOPICS:
Billing & Coding,
Influenza
Abstract
All influenza vaccines for the 2024-’25 season will be trivalent instead of quadrivalent due to the removal of the influenza B Yamagata strain.
News
Understanding updated E/M coding guidelines can prevent underbilling, loss of revenue
Available to PurchasePublished: August 01, 2024
TOPICS:
Billing & Coding
Abstract
A recent study showed levels of service reported by pediatric practices did not change after updated E/M coding guidelines took effect.
News
What questions are trending on AAP Coding Hotline?
Available to PurchasePublished: July 01, 2024
TOPICS:
Billing & Coding
Abstract
Staying informed on evolving coding guidelines and payer policies is crucial for accurate coding and payment.
News
Reporting code G2211 may increase payment for services that focus on maintaining patient relationships
Available to PurchasePublished: June 01, 2024
TOPICS:
Billing & Coding
Abstract
The code is reported in addition to office and other outpatient E&M services.
News
Is this billable? How to report lactation counseling services in pediatric practice
Available to PurchasePublished: April 01, 2024
TOPICS:
Billing & Coding,
Breastfeeding,
Nutrition
Abstract
Some payers bundle provision of breastfeeding support and counseling with the global obstetric service or postpartum care of the mother.
News
New codes for E/M services among updates for 2024
Available to PurchasePublished: February 01, 2024
TOPICS:
Billing & Coding
Abstract
While the changes are not as expansive as the 2021 and 2023 overhauls to evaluation and management services, they are significant.
News
New codes for silver diamine fluoride application, E/M services among updates for 2024
Available to PurchasePublished: January 01, 2024
Abstract
While the changes are not as expansive as the 2021 and 2023 overhauls to evaluation and management services, they are significant.
News
Published: November 13, 2023
Abstract
New CPT codes have been approved for the administration of nirsevimab (Beyfortus) for the prevention of RSV.
News
Published: September 14, 2023
Abstract
Monoclonal antibody products palivizumab (Synagis) and nirsevimab (Beyfortus) have been shown to protect infants and young children from severe disease caused by respiratory syncytial virus.
News
How to get paid for requesting or providing interprofessional consultations
Available to PurchasePublished: September 01, 2023
TOPICS:
Billing & Coding
Abstract
The CPT code descriptors were changed this year to allow qualified health care professionals to be paid as consultants.
News
Published: June 02, 2023
Abstract
Cigna will delay a requirement for additional documentation when E/M services are reported with modifier 25.
News
Published: May 30, 2023
Abstract
Code selection is based on the vaccine product, the patient’s age and which dose in the series is administered.
News
When to use, how to document modifier 25
Available to PurchasePublished: May 01, 2023
TOPICS:
Billing & Coding
Abstract
Modifier 25 indicates a significant, separately identifiable E/M service by the same physician or other qualified health care professional on the same day of the procedure or other service.
News
Be aware of nuances of code selection based on time for E/M services
Available to PurchasePublished: April 01, 2023
TOPICS:
Billing & Coding
Abstract
Learning about options for code selection based on time and adopting a practice of documenting time can support code selection that is most appropriate for the service provided.
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